SAFE MATERNITY AND PEDIATRIC
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal-Child Nursing
Stem
A newly licensed ADN nurse is assigned to the postpartum unit
and is caring for a primiparous patient who asks about newborn
feeding patterns. The nurse recognizes that teaching is needed
but the unit culture assigns the experienced RN to education.
Which action best demonstrates the new nurse’s appropriate
role while ensuring patient safety and learning needs are met?
,A. Tell the patient you'll defer teaching to the experienced RN
and leave without any teaching.
B. Provide the patient only with the unit brochure and say you'll
follow up later.
C. Assess the mother's current knowledge and provide brief,
evidence-based teaching, then inform the RN and document
teaching.
D. Insist you must be the only one to teach and refuse to involve
the experienced RN.
Correct answer
C
Rationales
Correct (C): Assessing the mother's knowledge and delivering
brief, evidence-based teaching is within the new nurse’s scope
and supports immediate safety (feeding adequacy), then
informing the experienced RN and documenting shows
teamwork and continuity of care. This demonstrates role-
appropriate practice and accountability.
A: Leaving without any teaching neglects patient education
needs and risks infant feeding problems.
B: Only giving a brochure without assessing understanding may
miss gaps and is insufficient for immediate safety.
D: Refusing collaboration is unprofessional and ignores shared
responsibility for patient teaching.
,Teaching point
Assess first, give evidence-based teaching, communicate and
document for safety.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing:
Interprofessional Collaboration
Stem
On the pediatric unit a 6-year-old with asthma has increased
work of breathing. The bedside nurse observes retractions and
oxygen saturation 92% on room air. The nurse believes a
respiratory therapist should be consulted but the resident
indicates “watch and wait.” What is the nurse’s best next
action?
A. Accept the resident's plan and document the findings.
B. Call the respiratory therapist and the charge nurse to request
an immediate assessment.
C. Tell the family you will wait and reassess in 2 hours.
D. Administer an albuterol nebulizer without notifying the
team.
, Correct answer
B
Rationales
Correct (B): Advocating for a timely respiratory therapist
assessment uses interprofessional collaboration and prioritizes
patient safety when objective signs (retractions, borderline sat
O₂) indicate possible deterioration. Escalation to the charge
nurse helps resolve disagreement.
A: Solely accepting the resident’s plan can delay necessary
treatment and jeopardize the child.
C: Delaying reassessment for 2 hours is unsafe given current
respiratory signs.
D: Administering treatment without notifying the team may
breach scope/protocol and removes communication and
oversight.
Teaching point
Escalate and collaborate when patient status suggests
deterioration.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference
Ch. 1 — Legalities and Ethics: Scope of Practice
NURSING CARE
3RD EDITION
• AUTHOR(S)LUANNE LINNARD-
PALMER; GLORIA HAILE COATS
TEST BANK
1
Reference
Ch. 1 — Introduction to Maternity and Pediatric Nursing: Roles
in Maternal-Child Nursing
Stem
A newly licensed ADN nurse is assigned to the postpartum unit
and is caring for a primiparous patient who asks about newborn
feeding patterns. The nurse recognizes that teaching is needed
but the unit culture assigns the experienced RN to education.
Which action best demonstrates the new nurse’s appropriate
role while ensuring patient safety and learning needs are met?
,A. Tell the patient you'll defer teaching to the experienced RN
and leave without any teaching.
B. Provide the patient only with the unit brochure and say you'll
follow up later.
C. Assess the mother's current knowledge and provide brief,
evidence-based teaching, then inform the RN and document
teaching.
D. Insist you must be the only one to teach and refuse to involve
the experienced RN.
Correct answer
C
Rationales
Correct (C): Assessing the mother's knowledge and delivering
brief, evidence-based teaching is within the new nurse’s scope
and supports immediate safety (feeding adequacy), then
informing the experienced RN and documenting shows
teamwork and continuity of care. This demonstrates role-
appropriate practice and accountability.
A: Leaving without any teaching neglects patient education
needs and risks infant feeding problems.
B: Only giving a brochure without assessing understanding may
miss gaps and is insufficient for immediate safety.
D: Refusing collaboration is unprofessional and ignores shared
responsibility for patient teaching.
,Teaching point
Assess first, give evidence-based teaching, communicate and
document for safety.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
2
Reference
Ch. 1 — Roles in Maternal-Child and Pediatric Nursing:
Interprofessional Collaboration
Stem
On the pediatric unit a 6-year-old with asthma has increased
work of breathing. The bedside nurse observes retractions and
oxygen saturation 92% on room air. The nurse believes a
respiratory therapist should be consulted but the resident
indicates “watch and wait.” What is the nurse’s best next
action?
A. Accept the resident's plan and document the findings.
B. Call the respiratory therapist and the charge nurse to request
an immediate assessment.
C. Tell the family you will wait and reassess in 2 hours.
D. Administer an albuterol nebulizer without notifying the
team.
, Correct answer
B
Rationales
Correct (B): Advocating for a timely respiratory therapist
assessment uses interprofessional collaboration and prioritizes
patient safety when objective signs (retractions, borderline sat
O₂) indicate possible deterioration. Escalation to the charge
nurse helps resolve disagreement.
A: Solely accepting the resident’s plan can delay necessary
treatment and jeopardize the child.
C: Delaying reassessment for 2 hours is unsafe given current
respiratory signs.
D: Administering treatment without notifying the team may
breach scope/protocol and removes communication and
oversight.
Teaching point
Escalate and collaborate when patient status suggests
deterioration.
Citation
Linnard-Palmer, L., & Coats, G. H. (2025). Safe Maternity and
Pediatric Nursing Care (3rd ed.). Ch. 1.
3
Reference
Ch. 1 — Legalities and Ethics: Scope of Practice
